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Nebraska rates for HCPCS 58340

Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography

Facilitymedian $1,514 · 10th–90th $117–$7,9430%5%10%10th90th$1,514Professionalmedian $195 · 10th–90th $59–$4790%10%10th90th$195$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $2,041.74 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $194.98 / $478.63
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $85.11 / $549.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $436.52 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $125.89 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $234.42 / $562.34
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $251.19 / $645.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $288.40 / $2,884.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $354.81 / $549.54
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $234.42 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $1,548.82 / $4,466.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $158.49 / $457.09